Individual provider · Type 1 NPI

Christine Phan Jerabek, PA

Physician Assistant · Roseville, MN

NPI number 1619722329 Active

Practice location

2720 Fairview Ave N Ste 200
Roseville, MN 55113-1306

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X14909 (MN)
Physician Assistant 363A00000X7902-23 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1619722329

Christine Phan Jerabek, PA's National Provider Identifier is 1619722329, issued on Apr 17, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Roseville, MN. The record was last updated on Dec 11, 2025.